What is Process Claims?
Process claims refers to the procedure an insurance agent follows once receiving a claim from an insured individual. This often includes reviewing, investigating, and deciding on whether the claim will be accepted or denied depending on the results of the insurer's investigation. This is a common procedure for all kinds of insurance including medical, auto, and liability insurance.
How is Process Claims used?
Zippia reviewed thousands of resumes to understand how process claims is used in different jobs. Explore the list of common job responsibilities related to process claims below:
- Process claims with insurance companies via fax or upload into their system using appropriate estimating and video software.
- Write up estimates for customers; work closely with insurance staff to process claims.
- Uploaded damage reports within same day to process claims accurately and quickly.
- Process Claims Uploading Quick Turn Around on all Claims Very thorough pictures, reports, measurements, and documentation.
- Investigate and process claims per the NY and NJ State Regulations.
- Entrusted with high draft authority to process claims efficiently.
Are Process Claims skills in demand?
Yes, process claims skills are in demand today. Currently, 447 job openings list process claims skills as a requirement. The job descriptions that most frequently include process claims skills are damage appraiser, claim processing specialist, and claims service specialist.
How hard is it to learn Process Claims?
Based on the average complexity level of the jobs that use process claims the most: damage appraiser, claim processing specialist, and claims service specialist. The complexity level of these jobs is intermediate.
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What jobs can you get with Process Claims skills?
You can get a job as a damage appraiser, claim processing specialist, and claims service specialist with process claims skills. After analyzing resumes and job postings, we identified these as the most common job titles for candidates with process claims skills.
Damage Appraiser
Job description:
A damage appraiser is someone who determines the damage costs associated with a property, such as buildings and vehicles, in preparation for filing claims and requesting payments from insurance. The damage appraiser compiles estimated and actual costs of repairs and creates a report used as a reference for any claims and insurance requests. The damage appraiser can also come in handy for any legal requirement for repair agreements between parties and such. The damage appraiser works closely with the client and all the repair companies that repaired the damaged property.
- Vehicle Repairs
- Parts Costs
- Process Claims
- Customer Service
- Audatex
- Repair Process
Claim Processing Specialist
- Data Entry
- Process Claims
- Insurance Claims
- Inbound Calls
- CPT
- Medicaid
Claims Service Specialist
Job description:
A claims service specialist works at insurance companies where they are in charge of reviewing and processing insurance claims according to protocols and policies. Among their usual responsibilities include conducting investigations, gathering and verifying documentation, traveling to different areas to examine property damages or personal injuries, conducting interviews, negotiating with external parties, and developing plans to optimize operations. Moreover, a claims service specialist must keep abreast with the latest changes in laws regarding insurance claims and policies.
- Customer Service
- Process Claims
- Data Entry
- Auto Claims
- Telephone Calls
- Strong Analytical
Claims Administrator
Job description:
Claims administrators are professionals who are responsible for performing administrative duties related to insurance claims. These administrators must collaborate with insurance companies so that they can analyze claims and determine the extent of the company's liability. They must review billing and process claims correctly by identifying provider information and other documentation to ensure a prompt payout. Claims administrators must also maintain and manage the compensation files of all workers in order to conduct preliminary investigations on work-related injuries for worker's compensation claims.
- Data Entry
- Customer Service
- Process Claims
- Phone Calls
- HR
- Insurance Claims
Claims Analyst
Job description:
A claims analyst specializes in processing medical insurance claims. They are primarily responsible for verifying the authenticity and eligibility of claims, analyzing the billing, communicating with policyholders, and ensuring adherence to all the policies and regulations during the entire procedure. Furthermore, a claims analyst is also in charge of administrative tasks such as keeping and updating records, reaching out and sending reports to creditors, setting appointments and schedules, processing paperwork, coordinating with key personnel, and discussing terms and necessary information to clients.
- Customer Service
- Medical Terminology
- CPT
- Process Claims
- Medicaid
- Data Entry
How much can you earn with Process Claims skills?
You can earn up to $48,075 a year with process claims skills if you become a damage appraiser, the highest-paying job that requires process claims skills. Claim processing specialists can earn the second-highest salary among jobs that use Python, $34,436 a year.
| Job title | Average salary | Hourly rate |
|---|---|---|
| Damage Appraiser | $48,075 | $23 |
| Claim Processing Specialist | $34,436 | $17 |
| Claims Service Specialist | $39,962 | $19 |
| Claims Administrator | $36,432 | $18 |
| Senior Claims Processor | $44,873 | $22 |
Companies using Process Claims in 2026
The top companies that look for employees with process claims skills are Sedgwick LLP, Lincoln Financial Group, and Robert Half. In the millions of job postings we reviewed, these companies mention process claims skills most frequently.
| Rank | Company | % of all skills | Job openings |
|---|---|---|---|
| 1 | Sedgwick LLP | 57% | 4,347 |
| 2 | Lincoln Financial Group | 6% | 73 |
| 3 | Robert Half | 5% | 8,723 |
| 4 | ASTON FRANCE | 5% | 885 |
| 5 | Brown & Brown | 3% | 405 |
Departments using Process Claims
| Department | Average salary |
|---|---|
| Finance | $59,332 |
| Customer Service | $36,952 |